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Topic: Anyone on Gemzar?

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  • Posted on: Jun 23, 2009 05:12 pm
NY
Joined: Jan 2009
Posts: 341
Nanalinda wrote:

My new scan shows progression.  I have had disease in supraclavicular lymph nodes, mediastinum and spine.  Now I have involvement in the lymph nodes around my trachea and 2 spots in my lung.  I was on Taxol/Avastin which stopped working at 10 months.  My oncologist is starting me on Gemzar this Friday.  Has anyone been on this drug?  If so, can you tell me how well it worked and what side effects did you have?  I know the drugs work differently on everyone, but I am curious.  I thought I was going to start Xeloda, but she decided to go with the Gemzar instead, and I have not heard very much about this drug.  It's been kind of a down day for me even though I was expecting to hear that the 1st chemo had stopped working because I could feel the supraclavicular nodes growing.  I hope this new drug works a bit longer.  My DH  who was with me at the Dr. office took the news very hard, but we both agreed after we returned home that we have only just begun to fight.  Linda 


Dx 7/26/2006, IDC, 3cm, Stage IV, Grade 3, 0/0 nodes, mets, ER-/PR-, HER2-

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konakat
Ottawa, ON
Joined: Jun 2007
Posts: 1,613
Oct 21, 2009 06:18 pm konakat wrote:

No cholesterol meds for a long time.  I was too stunned to ask what in particular was raised in my liver. My onc asked if I've been sick lately, anything new going on.  Apparently it was quite a leap.  Makes me nervous.  The only thing I could confess to was eating too much apple crisp and feeling fine...

I hope you're continuing to do well on Gemzar.  It's good stuff!!

Elizabeth

Elizabeth's Mantra: When in doubt, eat cake. When you haven't a clue, add ice cream.
Diagnosis: 5/2007, ILC, 3cm, Stage IV, Grade 3, 13/19 nodes, mets, ER+/PR+, HER2+
Nanalinda
NY
Joined: Jan 2009
Posts: 341
Oct 21, 2009 06:34 pm Nanalinda wrote:

Well maybe they could try decreasing your dose.  They have decreased mine twice now... I started at 1500mg, and I am now at 1300mg and it seems to still be working OK.  I feel good;  good QOL.  I will hate it when I have to stop Gemzar too.  Linda


Diagnosis: 7/26/2006, IDC, 3cm, Stage IV, Grade 3, 0/1 nodes, mets, ER-/PR-, HER2-
konakat
Ottawa, ON
Joined: Jun 2007
Posts: 1,613
Oct 21, 2009 07:13 pm konakat wrote:

I'll have to ask my onc what the dose is.  She did mention "teeny tiny" dose -- again I didn't ask, the number mean nothing to me, only when she says we'll cut the dose, cut it again...

I've been in such good humour lately, even with the leaving boyfriend/Boston upheaval.  I can't wait to be back with my old girlfriends again.  I've started painting the basement -- found out that primer is hard to get out of my hair, off my arms.  Oh, if you have or know of a goth teenager who wants to paint his/her room black, black paint isn't so hard to cover.  The red is gonna be a big pain.  Gee, black and red walls seemed like such a good idea at first.....hahahahaha.  And painting some ceiling tiles red... Good thing I like painting and have time on my hands... 

Elizabeth's Mantra: When in doubt, eat cake. When you haven't a clue, add ice cream.
Diagnosis: 5/2007, ILC, 3cm, Stage IV, Grade 3, 13/19 nodes, mets, ER+/PR+, HER2+
Duffymom
MN
Joined: Jul 2006
Posts: 167
Oct 22, 2009 12:17 am Duffymom wrote:

Yesterday was my 1st chemo eliminating the Carbo from my treatment and just having Gemzar/Avastin.  I'll have another PET in Dec. to see if it's doing the job the 3 did before. I hope so as I love being on Gemzar (with the exception of platelets being slow to rebound).  I have minimal SE.  I've been told that if this stops working it will be Xeloda or Ixempra for me.  Neither sound like good alternatives to Gemzar. I hope we all get to continue to stay on.

Kathy


Diagnosis: 7/2006, IDC, 6cm+, Stage IV, Grade 3, 0/12 nodes, ER-/PR-, HER2-
Nanalinda
NY
Joined: Jan 2009
Posts: 341
Oct 22, 2009 07:03 pm Nanalinda wrote:

Elizabeth:  I am glad things are going well for you and you are feeling good.  When is the big move?  It will be good for you to be back near friends and family.

Kathy:  I hope the Gemzar/Avastin combo works well for you.  I am surprised they put those two meds together... with the bleeding risk from both of them.  My onc was going to start me on Xeloda but decided to go with the Gemzar instead.  I am glad she did as I too am having minimal se's.  It gave me a decent summer, and I hope a decent upcoming holiday season.


Diagnosis: 7/26/2006, IDC, 3cm, Stage IV, Grade 3, 0/1 nodes, mets, ER-/PR-, HER2-
konakat
Ottawa, ON
Joined: Jun 2007
Posts: 1,613
Oct 22, 2009 07:50 pm konakat wrote:

I'm moving Dec 01.  It will be nice to be back home.  Sorry to leave Boston, but still looking forward to the move.

Elizabeth's Mantra: When in doubt, eat cake. When you haven't a clue, add ice cream.
Diagnosis: 5/2007, ILC, 3cm, Stage IV, Grade 3, 13/19 nodes, mets, ER+/PR+, HER2+
luvtotravel…
Ludington, MI
Joined: Sep 2008
Posts: 932
Oct 22, 2009 09:46 pm luvtotravel wrote:

I was on Gemzar with Xedola and Gemzar was a good drug. No se and it worked for me.  I was on for 13 months and it helped me stay stable.  Xeloda I had terrible hand and foot syndrome.  I took the summer off for a clinical trial and I am now back on chemo.

Luvtotravel Stage I 2004 Stage IV 2008 mets to bone and liver.
Duffymom
MN
Joined: Jul 2006
Posts: 167
Oct 22, 2009 11:56 pm Duffymom wrote:

Nanalinda - I've been on the Gemzar/Carbo/Avastin since Dec with no problems and good results. Until the darn allergic reaction.  I just hope removing the Carbo from the mix doesn't change things.

Konakat - where is "home"?  have you been gone long?  Best wishes on a smoothy move back.

luvtotravel - what kind of chemo are you back on?

Kathy


Diagnosis: 10/2008, IDC, 6cm+, Stage IV, Grade 3, 0/12 nodes, ER-/PR-, HER2-
konakat
Ottawa, ON
Joined: Jun 2007
Posts: 1,613
Oct 23, 2009 12:58 am, edited Oct 23, 2009 12:58 AM by konakat konakat wrote:

Hi Duffymom -- My home is Ottawa, Canada.  I've been in Boston for just over 3 years -- moved here to be with  my boyfriend.  Got BC 6 months after coming here.  :-(  Since I am out of work, COBRA is ending and my visa is expiring I have to leave.  :-(  But I will try to come down to see my b/f every 2nd week or so...  :-)

Elizabeth's Mantra: When in doubt, eat cake. When you haven't a clue, add ice cream.
Diagnosis: 5/2007, ILC, 3cm, Stage IV, Grade 3, 13/19 nodes, mets, ER+/PR+, HER2+
Denny123
Joined: Jan 2004
Posts: 2,486
Oct 23, 2009 10:04 am Denny123 wrote:

I replied to this back in June.

Just to repeat-Gemzar and Herceptin put my very aggressive liver mets into remission in only 9 months. I am now on Herceptin for life and my liver has been in remission for over 5 years.

Denise


Diagnosis: 12/14/2002, IDC, 5cm, Stage IV, 4/40 nodes, mets, ER+/PR-, HER2+
Nanalinda
NY
Joined: Jan 2009
Posts: 341
Oct 23, 2009 11:09 am Nanalinda wrote:

Remission... What a wonderful word!  I would love to hear it!!  I am so glad it worked so well for you Denise.


Diagnosis: 7/26/2006, IDC, 3cm, Stage IV, Grade 3, 0/1 nodes, mets, ER-/PR-, HER2-
konakat
Ottawa, ON
Joined: Jun 2007
Posts: 1,613
Oct 28, 2009 03:38 pm konakat wrote:

Well, another week without chemo -- liver still very much elevated (should be around 40-50, last week 187, this week 158).  Sooooo, no chemo.  Onc consulted with gastro-doc and we're doing a CT scan and tons of tests to rule out stuff and see if it's just Gemzar being Gemzar.

And I have the best onc -- I mentioned that the hospital charges 55cents/page for med records.  So she printed off all the important stuff this morning and is writing a letter about my dx and tx to give to my new PCP and onc.  The nurses and admin support love her too.  I'm gonna miss her when I move!!!

The Gemzar/liver saga continues...

Elizabeth's Mantra: When in doubt, eat cake. When you haven't a clue, add ice cream.
Diagnosis: 5/2007, ILC, 3cm, Stage IV, Grade 3, 13/19 nodes, mets, ER+/PR+, HER2+
Nanalinda
NY
Joined: Jan 2009
Posts: 341
Oct 28, 2009 09:28 pm Nanalinda wrote:

Elizabeth:  I am sorry you are having problems with your liver enzymes being elevated.  I know that Gemzar has been a good drug for you so far.  Maybe you just need a little chemo break to get things back to normal.  I will keep my fingers crossed for you.

I have a female onc too, and I just love her also.  Can you believe it... she gives me a hug at the end of our monthly visit and exam.  I go to a very small clinic with a husband/wife oncology team;  she specializes in breast cancer, and he handles all the rest.  It helps us greatly to have a good relationship with our onc.  I hope you find someone just as good and nice once you make your move.  Linda


Diagnosis: 7/26/2006, IDC, 3cm, Stage IV, Grade 3, 0/1 nodes, mets, ER-/PR-, HER2-
konakat
Ottawa, ON
Joined: Jun 2007
Posts: 1,613
Nov 4, 2009 05:12 pm konakat wrote:

Finally more good news!!!  Another lesion gone.  Only one left!!!  Pretty good since I had 7 in January.  I am so relieved!  I also found out that I'm getting a really tiny dose of Gemzar -- 360mg!  That small bit is working, slowly, but working.  Seems that my liver has just been getting tired of Gemzar, nothing else seems to be wrong.

Hopefully we'll get rid of that last lesion and start on Aromasin when I get back to Canada.  I'm a bit nervous not having chemo but I'm sure I'll get used to it!  I hope I get a remission for a while -- my onc isn't sure since tamox didn't work for me so maybe A won't -- guess I'll find out!

Now, I just need to finish stuffing my car with belongings and hit the road for Canada tomorrow -- apartment searching and seeing my doc.  Back Sunday to finish packing...  Too much going on!

Elizabeth

Elizabeth's Mantra: When in doubt, eat cake. When you haven't a clue, add ice cream.
Diagnosis: 5/2007, ILC, 3cm, Stage IV, Grade 3, 13/19 nodes, mets, ER+/PR+, HER2+
mthomp2020
Loveland, OH
Joined: Jul 2007
Posts: 878
Nov 4, 2009 05:53 pm mthomp2020 wrote:

That is great news about the Gemzar still doing it's job, even at a very small dose!  For some reason, my onc doesn't seem too enthused with Gemzar.  I'm currently on Navelbine/Herceptin after new mets popped up in my right hip in March.  So far it's kept me stable.  As of my last scans on 8/31, my liver is still clean, has been since March 08.  Hopefully things will still be good at the end of this month. 

I'll keep my fingers crossed for you that your enzymes return to normal.  I hear you about wanting to keep going with an easy chemo that is actually working.  Have you been on Navelbine yet?  I can't recall if you've been on it or not.  It's been pretty easy since they got the dose right.  Biggest problem is it's aggravated my neuropathy numbness wise, but that's about it.

Good luck with your move.  It does feel good to go home again, doesn't it?


Diagnosis: 5/21/2007, IDC, Stage IV, Grade 3, mets, ER-/PR-, HER2+
Duffymom
MN
Joined: Jul 2006
Posts: 167
Nov 4, 2009 06:58 pm Duffymom wrote:

Hooray Elizabeth!  I'm tired just reading about you and your move.  I hope things go well and that your last liver lesion disappears!  Since I'm triple neg, chemo is my only option so I pray that Gemzar keeps working and doesn't do any damage to my body.  I think I'll be on monthly chemo the rest of my life.  Good luck moving back to Canada.

Kathy


Diagnosis: 10/2008, IDC, 6cm+, Stage IV, Grade 3, 0/12 nodes, ER-/PR-, HER2-
Nanalinda
NY
Joined: Jan 2009
Posts: 341
Nov 4, 2009 07:40 pm Nanalinda wrote:

Great news Elizabeth!  Keep the good news coming!!  Have a safe trip tomorrow.  Linda


Diagnosis: 7/26/2006, IDC, 3cm, Stage IV, Grade 3, 0/1 nodes, mets, ER-/PR-, HER2-
konakat
Ottawa, ON
Joined: Jun 2007
Posts: 1,613
Nov 4, 2009 07:45 pm konakat wrote:

I hope to get that one last lesion gone!  Once Gemzar stops working the next on the list is Navelbine -- nice to know it's gentle too.  I do worry about neuropathy -- I was falling down a lot on Taxol -- the reason we switched to Gemzar this past May. (Also on Zometa and Herceptin).

Sloooowly working through the available chemos...sigh...  I'm going into my 12th straight month of chemo -- gee, could that be why my liver numbers are wonky?  They're slowly working back towards normal -- my onc really wants me to get on Aromasin to give me a break - hopefully in Dec once I'm settled in Canada.  I'm anxious to start my affair with the stable boy!! 

Thanks for the well wishes!!

Elizabeth

xox

Elizabeth's Mantra: When in doubt, eat cake. When you haven't a clue, add ice cream.
Diagnosis: 5/2007, ILC, 3cm, Stage IV, Grade 3, 13/19 nodes, mets, ER+/PR+, HER2+
konakat
Ottawa, ON
Joined: Jun 2007
Posts: 1,613
Nov 19, 2009 08:06 pm konakat wrote:

I had my last Gemzar infusion in the US on Wed -- I don't know if the onc in Canada will continue with Gemzar or what -- I see him Dec 08.  My onc here said when patients switch oncs/go to a new cancer center there is a trend for a continuation on chemo, even if the previous onc was toying with the idea of a break.  Gemzar is being so good to me but my bod is getting worn out, especially my liver.

I was very surprised to find out that I have osteopenia -- another SE of seemingly endless chemo.  My back MRI shows that the met on my spine is still gone.  That's nice.

I must admit that I am scared/nervous about not getting chemo.  I didn't have any luck on tamox.  Also I still have a 1cm liver lesion that is stubbornly hanging on.  When the mets came back last year it spread so fast when I had a break to get my ovaries out.  If I'm on AIs and they don't work I worry about not being able to get it under control again.  I guess I'll have to wait and see.

I hope everyone on Gemzar is still getting good results and flirting with the stable boy and NED.  Next update: Dec 08.  Don't know how many read this, but it helps me writing this stuff.  Thanks.

Elizabeth's Mantra: When in doubt, eat cake. When you haven't a clue, add ice cream.
Diagnosis: 5/2007, ILC, 3cm, Stage IV, Grade 3, 13/19 nodes, mets, ER+/PR+, HER2+
Nanalinda
NY
Joined: Jan 2009
Posts: 341
Nov 19, 2009 08:40 pm Nanalinda wrote:

Elizabeth:  I hope your new oncologist will continue you on Gemzar as it has worked very well for you.  I understand your fear of having the chemo break... it's scary.  I love my week off from chemo as I start to feel normal again, and always dread when I have to go back for my two weeks on.  An extended break would sure feel good, but you always wonder what is going on inside your body.  I am glad you are keeping us up to date on how things are going for you.  You are a very kind and caring person who helps many people on these boards and we care about you.

About a week ago I started to have increased pain in my spine where my mets are.  When I was on Taxol/Avastin; the chemo was at first working well on the tumors in my mid chest and in my clavicle, but I had progression in the spine.  I now fear the same is happening on Gemzar.  My insurance denied my PET scan last month saying it was too soon, but if this pain continues I am going to ask my Onc to order another one and will fight the insurance company if they deny it again.  I have been told that I can have rads for the spine, but would have to stop chemo for the time I am on rads... right now I am reluctant to stop the chemo as my tumors are fast growers too.  I need to have that PET scan to see what exactly is going on inside my body.


Diagnosis: 7/26/2006, IDC, 3cm, Stage IV, Grade 3, 0/1 nodes, mets, ER-/PR-, HER2-
konakat
Ottawa, ON
Joined: Jun 2007
Posts: 1,613
Nov 19, 2009 10:11 pm konakat wrote:

Oh no -- I hope it is generic back pain.  I never stopped getting twinges in my spine where the mets was even though the lesion disappeared months ago.  Is the tumor still gone on your clavicle?  I remember you could feel it before. 

I love PET scans but I don't think they're done as often in Canada -- I guess I'll find out.  Insurance companies are such a pain -- seems that they deny once in a while then change their minds once the docs get involved and push.  When was your last one?

I just have a few days of being rested -- inbetween chemo and the neupogin shots I get Mon-Wed.  I've been eating brownies all day, hoping I'd get a sugar rush and finish up packing.  No luck -- maybe tomorrow...

Let me know if you get that PET.  And I sure hope your mets isn't coming back -- I would be so pissed off at the cancer.  Grrrrrrrr.

Elizabeth's Mantra: When in doubt, eat cake. When you haven't a clue, add ice cream.
Diagnosis: 5/2007, ILC, 3cm, Stage IV, Grade 3, 13/19 nodes, mets, ER+/PR+, HER2+
konakat
Ottawa, ON
Joined: Jun 2007
Posts: 1,613
Nov 19, 2009 10:14 pm konakat wrote:

Oh yeah -- I saved all the electronic files of my CT and PET scans on my laptop that I got for my new onc. It is so interesting!!  I love the 3D movie of my body spinning around -- I find the black spots on my transparent liver very interesting to look at -- almost forget it's cancer...  Been mousing all over looking at my organs, etc.  Maybe too much time on my hands -- but beats playing endless games of solitaire!!

Be well Linda!

Elizabeth's Mantra: When in doubt, eat cake. When you haven't a clue, add ice cream.
Diagnosis: 5/2007, ILC, 3cm, Stage IV, Grade 3, 13/19 nodes, mets, ER+/PR+, HER2+
Nanalinda
NY
Joined: Jan 2009
Posts: 341
Nov 20, 2009 08:35 am Nanalinda wrote:

Yes, the tumor in my clavicle is still gone, which always gives me hope that the Gemzar is still working.  My last Pet was in June just before I started Gemzar, so the insurance company shoudn't give me a hard time about one now as it is almost Dec.

If they don't do PET scans as often in Canada, how do they tell if the chemo is working?

Thanks for the kind words Elizabeth, and have fun playing with those CD's of your body.


Diagnosis: 7/26/2006, IDC, 3cm, Stage IV, Grade 3, 0/1 nodes, mets, ER-/PR-, HER2-
konakat
Ottawa, ON
Joined: Jun 2007
Posts: 1,613
Nov 20, 2009 01:22 pm konakat wrote:

I think they rely more on CTs and MRIs than PETs in Canada.

Yes, since it's been 6 months the insurance company should let you get a PET.  Please post when you get one, and the results! 

Elizabeth's Mantra: When in doubt, eat cake. When you haven't a clue, add ice cream.
Diagnosis: 5/2007, ILC, 3cm, Stage IV, Grade 3, 13/19 nodes, mets, ER+/PR+, HER2+

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